National nutrition policy, Nepal
Class Presentation about National Nutrition Policy
Published on: Mar 3, 2016
Transcripts - National nutrition policy, Nepal
NATIONAL NUTRITION POLICY
LA GRANDEE International College,
• Adequate nutrition is a fundamental right of
every human being.
• Improving the nutritional status of people is
one of the prime duties of the government
and is an essential factor in improving their
health status and the quality of life.
• The World Health Report 2002 clearly describes how
child and maternal underweight are the greatest risk
factor that affect people’s health and disease status
• In the MDGs, underweight has been adopted as a key
indicator of poverty and hunger.
• Improved nutrition can help in reaching the MDGs
• From these points of view, it is recognized that
policies, programs and processes for nutrition
improvement have a great role to play in promoting
healthy lives and development across the globe. 3
BASIS OF NUTRITION POLICY
In order to reduce/control nutritional problems, the
GON needs to take various measures based on the
following important principles:
• HUMAN RIGHTS: accesses
to nutritionally adequate
and safe food and services
for nutrition education are
the rights of each
• PRE-CONDITION FOR DEVELOPMENT: Nutritional
well being should be a key objective for progress in
• HEALTHY LIFE: Nutritional improvement has to be
enhanced to ensure the healthy life of all people.
• UNIVERSAL PRIMARY EDUCATION : Under nutrition
in infancy and early childhood affects school
enrolment and on cognitive and behavioral
• PRIORITIZED GROUPS : Infants, young children,
pregnant and nursing women, disabled people and
the elderly within poor households are the most
nutritionally vulnerable groups.
• PEOPLE’S PARTICIPATION: People-focused policies for
nutritional improvement must acknowledge the fact
that people’s own knowledge, practices and creativity
are important driving forces for social change.
• GENDER: Special attention should be given to the
nutrition of women during pregnancy and lactation.
The programs that are categorized as ones with short
term objectives are
•Protein-energy Malnutrition (PEM),
•Iodine Deficiency Disorder (IDD),
•Vitamin A Deficiency (VAD),
•Intestinal Worm infestation,
•Low Birth Weight (LBW),
•Infectious Diseases and
•Nutrition in Exceptionally Difficult
The programs categorized as those with long term
• Household Food Security,
• Dietary Habit,
• Life-style Related Diseases and
• School Health and Nutrition
Achieving nutritional well being of all people in Nepal
so that they can maintain a healthy life and contribute
to the socio-economic development of the country,
through improved nutrition-program implementation in
collaboration with relevant sectors.
OBJECTIVES AND TARGETS:
Objective 1:To reduce protein-energy malnutrition in
children under 5 years of age and reproductive aged
Target 1:To reduce the prevalence of PEM among
children to half of the 2000 level by the year 2017.
Target 2:To reduce the prevalence of low BMI in
women to half of the 2000 level by the year 2017.
Objective 2: To reduce the prevalence IDA of anemia
among women and children.
Target 1: To reduce the prevalence of iron deficiency
anemia to less than 40% by the year 2017.
Objective 3: To virtually eliminate iodine deficiency
disorders and sustain the elimination.
Target 1: To virtually eliminate iodine deficiency
disorders by the year 2017.
Objective 4: To virtually eliminate vitamin A deficiency
and sustain the elimination.
Target 1: To virtually eliminate vitamin A deficiency by
the year 2017.
INTESTINAL WORM INFESTATION:
Objective 5: To reduce the infestation of intestinal
worms among children and pregnant women.
Target 1: To reduce infestation of intestinal worms to
less than 10% by the year 2017.
Objective 6 :To reduce the prevalence of low birth
Target 1: To reduce the prevalence of low birth weight
to 12% by the year 2017
HOUSEHOLD FOOD SECURITY
Objective 7: To improve household food security to
ensure that all people can have adequate access,
availability and utilization of food needed for healthy
Target 1: To reduce the percentage of people with
inadequate energy intake to 25% by the year 2017.
Objective 8: To promote the practice of good dietary
habits to improve the nutritional status of all people
Target 1: To reduce the prevalence of under nutrition
(underweight) and low BMI to half of the 2000 level by
the year 2017.
Objective 9: To prevent and control infectious diseases
to improve nutritional status and reduce child mortality
Objective 10: To control the incidence of life-style
related diseases (coronary artery disease,
hypertension, tobacco and smoke related diseases,
cancer, diabetes, dyslipidemia, etc)
SCHOOL HEALTH AND NUTRITION
Objective 11: To improve health and nutritional status
of school children.
NUTRITION IN EXCEPTIONALLY DIFFICULT
Objectives 12: To reduce the critical risk of
malnutrition and life during exceptionally difficult
Monitoring Objective 13 : To strengthen the system
for analyzing, monitoring and evaluating the nutrition
STRATEGIC APPROACHES FOR
COMPARISON OF NDHS 2001 AND 2011
• -Stunting: 57% children
below 5 years
children below 5 years
-Wasted: 11 % of the
• 27% of women fall
below the cut-off point
of BMI (<18.5).
• -Stunting: 41%
-Wasted: 11 %
• 18% of women are
malnourished, that is,
they fall below the body
mass index (BMI) cutoff
• Percentage of
exclusively BF children
<6 months: 68.3%.
• 65% of children aged 6-
9 months receive foods
made from grains as
• Prevalence of anemia
- preschool children:
• Percentage of exclusively
BF children <6 months:
• 70% of breastfed children
have been given
complementary foods by
age 6-9 months
• Prevalence of anemia
o in women age 15-49
-mildly anemic: 29%
-infants, 6-11 months
-severely anemic: <1%.
o in children age 6-59
-mildly anemic: 27%
-severely anemic: <1%.
GOVERNMENT ACTIONS IN NUTRITION
• Growth monitoring and nutrition counseling at PHCC,
HPs, SHPs and ORCs.
• Promotion of exclusive breastfeeding through mass
• Implementation of Breast Milk Substitute Act 2049
and Regulation 2051.
• Promotion of complementary feeding after 6
• Distribution of iron/folate tablets to pregnant
women and lactating mothers through hospitals,
PHCC, HPs, SHPs ,ORCs and FCHVs.
• Universal salt iodization as sole strategy to address
• Distribution of iodized salt in remote districts at
• Implementation of Iodized Salt Social marketing
• Monitoring of iodized salt at the entry points,
regional and national levels.
• Evaluation of IDD status through National Survey and
integrated mini- surveys for Vitamin A, iodized salt
• Mass supplementation of high-dose VA capsules to
children aged 6 and 59 months of age in 75 districts.
• Initiation of VA capsules supplementation for
postpartum mothers through FCHVs and health
• Biannual deworming of children aged 1-5 years
during vitamin A capsule supplementation in all 75
• Deworming of all pregnant women after completing
the first trimester of pregnancy.
• counseling at least 4 times during prenatal period
according to MoHP policy.
• Scaling‐up of Infant and Young Child Feeding and
• Implementation of nutrition activities through
• Formulation of Multi-sector Nutrition Plan For
Accelerating the Reduction of Maternal and Child
Under-nutrition in Nepal 2013-2017 (2023) with
series of activities and logical framework.
• Nutrition policies often do not include evidence-
informed key interventions in a comprehensive
• Establishment of Nutrition Rehabilitation center is
• food security are often not addressed consistently in
nutrition policies across regions.
• Key provisions of the International Code of Marketing of
Breast-milk Substitutes as well as other high priority
actions of the Global Strategy on Infant and Young Child
Feeding are not adequately covered
• School-based interventions do not cover the full range of
under nutrition and overweight faced by countries.
• Slow scale up and low coverage of evidence based and
cost effective interventions.
• National nutrition surveys are not conducted routinely in
timely manner do not adequately cover all components.
• National Nutrition Policy and Strategy,24thDecember
2004, Nutrition Section, CHD, DoHS, MoHP.
• Multi-sector Nutrition Plan For Accelerating the
Reduction of Maternal and Child Under-nutrition in
• Policy Papers on Health Nepal,December, 2007
• Nutrition Degree Programs In Nepal: A Review of
Current Offerings and Gaps ,Nutrition CRSP Research
Briefing Paper No. 9